Clone of Texas Prime Summer Basketball Academy

Child's Name*

First NameLast Name
School
Grade for 2025-2026 School Year*

PKKinder1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade
Gender

BoyGirl
Reversible Jersey $30*

I Need a Texas Prime Reversible JerseyI ALREADY HAVE a Texas Prime Reversible JerseyI would like to use my own reversible Jersey
Jersey Size
Which Dates Will you Attend?*

Saturday Dec 6Saturday Dec 27Saturday Jan 10Sunday Jan 11Saturday Jan 17
Parents Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Parent's Name 2

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*

EmailFrom a FriendSocial Media AdPast PlayerSurge Basketball, Rob CasselberryOther
By checking this Box I agree to get details from Texas Prime regarding upcoming camps and events.*

I AgreeI Disagree
By signing up for the Academy, understand basketball is a physically demanding sport, and attest that my child is medically cleared to participate. will not hold TMI Episcopal or Texas Prime Athletics accountable if injury were to occur.

My Products*

1 Child Registration $155.00

1 Day Registration$37.00

Quantity

Jersey $30.00

Total $0.00

Credit Card

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